A study of five cervicocephalic relocation tests in three different subject groups

Kristjansson, E, Dall'Alba, P and Jull, G (2003) A study of five cervicocephalic relocation tests in three different subject groups. Clinical Rehabilitation, 17 7: 768-774. doi:10.1191/0269215503cr676oa

Author Kristjansson, E
Dall'Alba, P
Jull, G
Title A study of five cervicocephalic relocation tests in three different subject groups
Journal name Clinical Rehabilitation   Check publisher's open access policy
ISSN 0269-2155
Publication date 2003-01-01
Year available 2003
Sub-type Article (original research)
DOI 10.1191/0269215503cr676oa
Open Access Status Not yet assessed
Volume 17
Issue 7
Start page 768
End page 774
Total pages 7
Editor Dr. Derick Wade
Place of publication Letchworth:Hertfordshire:UK
Publisher Arnold Journals, Turpin Distribution Services Ltd
Language eng
Subject C1
321024 Rehabilitation and Therapy - Occupational and Physical
730114 Skeletal system and disorders (incl. arthritis)
Abstract Objective: To compare head relocation accuracy in traumatic ( whiplash), insidious onset neck pain patients and asymptomatic subjects when targeting a natural head posture (NHP) and complex predetermined positions. Design: A case-control study. Setting: University-based musculoskeletal research clinic. Participants: Sixty-three volunteers divided into three groups of similar gender and age: Group 1 (n=21) an asymptomatic group; group 2 (n=20) insidious onset neck pain; group 3 (n=22) a history of whiplash injury. Intervention: Five randomly ordered tests designed to detect relocation accuracy of the head. Outcome measures: A 3-Space Fastrak system measured the mean absolute relocation error of three trials of each relocation test. Results: A significant difference was found between groups in one of the tests targeting the NHP (p=0.001). Post-hoc pairwise comparisons revealed a significant difference (pless than or equal to0.05) between the asymptomatic group and each symptomatic group. The difference between the symptomatic groups just failed to reach significance (p=0.07). None of the other four tests revealed significant differences. Conclusion: The test of targeting the NHP indicates that relocation inaccuracy exists in patients with neck pain with a trend to suggest that the deficit may be greater in whiplash patients. Tests employing unfamiliar postures or more complex movement were not successful in differentiating subject groups.
Keyword Rehabilitation
Equilibrium-point Control
Kinesthetic Sensibility
Whiplash Injury
Joint Movements
Q-Index Code C1
Institutional Status UQ

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Created: Wed, 15 Aug 2007, 05:13:55 EST